Provider Demographics
NPI:1518640549
Name:KLEINHEKSEL, JESSICA (MA, LLPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:KLEINHEKSEL
Suffix:
Gender:F
Credentials:MA, LLPC, NCC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17197 PRESTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-1862
Mailing Address - Country:US
Mailing Address - Phone:616-690-6968
Mailing Address - Fax:
Practice Address - Street 1:320 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1289
Practice Address - Country:US
Practice Address - Phone:616-607-4476
Practice Address - Fax:833-231-4270
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional